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1 face lift brow lift blepharoplasty facial implants

2 birkdale

3 Why you should choose Birkdale Experience & Expertise At Birkdale we ve delivered in excess of 150,000 highly specialised surgical procedures & consultations to both the Private Sector & the NHS. Our expertise is recognised throughout the medical sector, and is the reason why people consistently pick Birkdale as their number 1 choice. In the UK, the Healthcare Commission regulates all cosmetic surgery providers, but Birkdale is also an accredited provider of consulting & surgical expertise to both the Department of Health, and the NHS. Birkdale employs some of the finest, fully registered, cosmetic surgeons in the world. Aftercare & Support Birkdale offer a comprehensive 3-year aftercare program on all cosmetic surgery procedures. We also provide our patients with a 24-hour a day, 7 days a week medical response line, so we are always on call. Safety & Assurance Birkdale deliver their procedures through their own national network of private hospitals. Many Cosmetic Surgery companies can appear impressive, often meeting with you in lavish sales consulting rooms, but once you book your procedure with them, you are often sent to a hospital that they have simply rented temporary space in - to perform your procedure. Birkdale s own network of private hospitals boasts leading technology, and is staffed by a full compliment of specialist staff. By owning and managing our own hospitals we can ensure you receive the absolute highest standard of medical care available, and full support from our teams of dedicated professionals. Our ethical policy: Birkdale will only undertake proven surgical procedures. Birkdale will not endorse or promote techniques that have not been tested or proven. Birkdale will not deliver ANY procedure that we feel could prove harmful to a patient or not in a patient s long-term interest. We go to great lengths to identify the best equipment and most effective techniques to deliver your procedure. Your safety and satisfaction is our primary concern. 0% Finance Birkdale offers 0% Finance on all cosmetic surgery procedures (backed by the UK s largest finance house). This allows you the option to spread the cost of your procedure at no additional charge (subject to status, written details available on request).

4 face lift Welcome to Birkdale - Our appearance shouldn t bind us, it should set us free The signs of ageing can be disheartening, but we don t have to surrender to the appearance of lines and wrinkles. So, if you re considering cosmetic surgery to give your face a more youthful looking appearance, then we should talk. We ve developed this brochure for people like you, who are interested in finding out more about what cosmetic surgery can offer. About the Facelift Facelift is the term that describes a number of surgical procedures that do one or more of the following: Remove excess skin He then lifts and tightens the skin. The wounds are then sutured. Occasionally, drains may be used. The Mini-Lift has little, if any, effect on grooves running between the nose and mouth (naso-labial grooves) Depending on the amount of skin removed, the results may be more or less striking, and consequently last for varying periods of time. Remove excess fat Tighten loose skin Tighten sagging muscles There are different types of Facelifts and certain procedures are more suited to certain people. The outline of procedures to follow is simply a guide. Your personal situation can be discussed in detail during your consultation. The SMAS Lift During this procedure, the surgeon lifts the deeper layer of muscle (the superficial musculo-aponeurotic system or SMAS) in addition to the overlying skin. Types of Facelift: The Mini-Lift This is the most basic facelift, it involves little more than a skin tuck. The surgeon first makes the standard facelift incision, as shown on the right -

5 This allows the structures in the lower face and neck to be sutured to bone higher on the face, hence tightening the sling running around the lower face and chin / neck. Any excess fat may also be removed. The Extended SMAS Lift In this extension to the conventional SMAS procedure, the surgeon lifts the whole of the skin and SMAS layer all the way to the nose, totally elevating it from the cheek structures beneath. Consequently, the mid-face is improved considerably by this procedure, as are the nasolabial grooves. The Composite Facelift This operation generally involves an extended SMAS lift, to which a browlift and possibly lower eyelid surgery are added. The Mask Lift This modern technique is a more extensive procedure. Sometimes referred to as a Subperiosteal Facelift, the procedure involves: A hair-band type incision, which is taken right down through the covering of the bone to allow the deeper layers of the face to be lifted. Technical Considerations & Specific Post-Operative Instructions A basic mini-lift may take approximately two hours. Larger face-lifts, especially if combined with other procedures, may take up to approximately five hours. If the neck is being lifted, the surgeon may make an incision under the chin. One or two thin drains may be inserted at the completion of surgery. These will be removed during the first 48 hours. The face will probably be bandaged; the bandages will remain in place for up to 5 days, depending upon surgeon preference and the type of lift. Sutures and clips are removed between 4 to 10 days after. For the first 24 hours approximately, you will be encouraged to sleep upright. You may wash and shampoo your hair after the bandages are removed. Home rest is required for approximately 1 week after surgery and avoid strenuous activity for approximately 1 month. Most patients return to work after 2-3 weeks. Incisions are made within the mouth to release the structures of the cheek. It is recommended that you avoid significant social arrangements for up to 8 weeks to ensure you are confident about your improved appearance.

6 About Facial Implants Good bone structure is generally associated with an attractive person. For there to be a pleasing shape and proportion to the face, the cheekbones are usually high and well defined, whilst the chin must balance the rest of the face. Not everybody is fortunate enough to be born with that good bone structure. For such people, chin and cheek implants may result in considerable improvement. Cheek Augmentation (Cheek Implants, Malarplasty) This procedure involves inserting an artificial implant to heighten and give dimension to a flat face. The procedure is usually performed under general anaesthesia, although local anaesthesia with sedation may occasionally be used. The implants are inserted either through the mouth where the upper lip meets the gum (in which case there will be no external scarring), or through an incision made just below the lower eyelash. A pocket is created over the cheekbone. An implant of the appropriate size and shape is inserted, and the incision closed. If necessary, a small metal screw will be inserted to anchor the implant. The procedure takes up to 1 hour to perform and most procedures are undertaken as day cases. Normal exercise may be resumed after approximately 2 weeks with most people returning to work after 1 week. Chin Augmentation (Chin Implants, Mentoplasty) This procedure involves inserting an artificial implant in order to balance the overall shape of the face for people with a weak chin. The procedure is usually performed under general anaesthesia, although local anaesthesia with sedation may occasionally be used. The implant is inserted either through the mouth where the lower lip meets the gum (in which case there will be no external scarring), or through an incision made just under the chin and a pocket is created between the soft tissues of the chin and the prominence of the jawbone. An implant of the appropriate size and shape is inserted, and the incision closed. If necessary, a small metal screw will be inserted to anchor the implant. The procedure takes up to 1 hour to perform. Most procedures are undertaken as day cases. The chin may be strapped for several days. Any external sutures will be removed after 5-7 days. Normal exercise may be resumed after approximately 2 weeks. Most people return to work after 1 week. Expect some bruising and discomfort for a few days. The face may feel a little peculiar and tight, with some restriction of movement, for some weeks. Expect some bruising and discomfort for a few days and the face may feel a little peculiar and tight, with some restriction of movement, for some weeks.

7 Jaw Augmentation (Jaw Implants) A weak jaw line may be enhanced by the insertion of an artificial implant directly on to the jawbone. This operation is usually performed under general anaesthesia, although local anaesthesia with sedation may occasionally be used. On each side, the implants are inserted through the mouth where the lower lip meets the gum (in which case there will no external scarring). Implants of the appropriate size and shape are inserted, and the incision closed. If necessary, a small metal screw will be inserted to anchor the implants. The procedure takes approximately 1 hour to perform. Most procedures are undertaken as day cases. Normal exercise may be resumed after approximately 2 weeks. Most people return to work after 1 week. Expect some bruising and discomfort for a few days. The face may feel a little peculiar and tight, with some restriction of movement, for some weeks.

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9 brow lift About Brow Lift Endoscopic Brow Lift Brow Lift, also known as Forehead Lift, alters those tissues (skin and muscle) that through increasing age cause furrowing of the forehead. As we age, such lines can make us look older, sadder, or even angry. By removing these creases, the face looks considerably more youthful. Brow Lift is frequently combined with a Face-Lift and / or Blepharoplasty (eye bag removal treatment). Types of Brow Lift: Open Brow Lift This is the most common technique and most cases are performed under general anaesthesia, although local anaesthesia with sedation is possible, with most people having a single nights stay in hospital. Most cases are performed under general anaesthesia, although local anaesthesia with sedation is possible, with most people having a single nights stay in hospital. Three or more short incisions are made in the scalp, through which an endoscope is inserted to view the tissues of the forehead. A separate instrument is then inserted through an additional incision to lift these structures and remove or otherwise alter the tissues. The underlying tissues of the forehead are altered or released to allow the tissues to drape more evenly. Excess tissue is also removed to create a smooth, more youthful appearance. This procedure takes approximately 2 hours to perform. A coronal (crown) incision is made. It begins at ear level and runs across the top of the forehead well behind the hairline. The underlying tissues of the forehead are altered or released to allow the tissues to drape more evenly. Excess tissue is also removed to create a smooth, more youthful appearance. This procedure takes approximately 1-2 hours to perform. The head should be kept elevated for 2-3 days. People can experience mild discomfort. Approximately 7-10 days off work are required. Strenuous exercise should be avoided for approximately 6 weeks. It is possible for temporary hair-loss to occur. Permanent hair loss around the incisions is rare.

10 blepharoplasty (eye bag reduction) About Blepharoplasty As we get older, it is common for us to notice changes in the appearance of our eyes. Even from our early thirties, the eyelids may start to become puffy or to sag. With further advancing years, the skin may also show excessive wrinkles. The procedure may be performed under either local anaesthesia with sedation or under general anaesthesia. To operate on both upper and lower lids may take up to two hours These changes occur because the skin of the eyelids tends to become thinner, and the muscles associated with the eyelids become weaker. This allows the fat that naturally cushions the eyeball to fall forward, resulting in large bags. Consequently, the eyes look smaller, and the face looks older and more tired. Eye bag removal, or Blepharoplasty is a common cosmetic surgical procedure designed to rejuvenate the face. It is often combined with a brow or face-lift. The aims of the procedure are: To tighten hooded eyelids To correct the upper lid, an elliptical incision is made across the eyelid crease. This allows excess skin to be removed, exposing the underlying muscle. In most instances, the surgeon will then remove a thin strip of this muscle. In addition, a small amount of fat may also be removed. Restore the normal contour to the lid Eliminate any fatty bulges Blepharoplasty does not correct fine, so-called crow s feet, wrinkles. Nor does it correct dark circles under the eyes caused by excessive skin pigmentation (the results are best discussed in detail with a specialist consultant other procedures may be more suitable to produce the desired results). To correct the lower lid, there are two popular techniques. Traditionally, an incision is made just below the lower lashes, allowing a small ellipse of skin and muscle to be removed along with the two small fat pads that lie there. In cases where there is no excess skin, but only a fatty bulge, a transconjunctival or incisionless blepharoplasty may be possible. An incision is made, but it is hidden just inside the lower eyelid. It heals naturally, without the use of stitches.

11 What next? Initial Consultation: The first step is to simply take advantage of a completely free initial consultation with one of our patient co-ordinators. The initial consultation is designed to be warm and informative, and you are very welcome to bring a friend, partner, or relative along with you. Your patient co-ordinator will be able to answer many of the questions you may have, and will offer you objective advice or guidance. Your Procedure: Should you decide that a procedure is right for you, your patient co-ordinator will arrange a date with you for your procedure. Your patient co-ordinator will support and guide you throughout the entire process, and will be your point of contact throughout your journey with us. The initial consultation is simply designed to give you more information (specific to you), and allow you to think more about what it is you would like to achieve through facial surgery. It is also very valuable because it helps you to think of questions you may wish to ask your surgeon - should you decide to progress to the next stage. At no point are you under any obligation to progress any further the patient co-ordinator is simply there to act as your guide. Specialist Consultation: Should you decide that you would like to progress further we would arrange for you to meet with a specialist cosmetic surgeon, where you will be able to discuss your procedure in-depth. The surgeon will fully explain the surgical options available, and which would be most suited to you. Your surgeon will also discuss your medical history, and any associated risks. Once again, you are under absolutely no obligation to take this consultation any further. To arrange a free initial consultation, simply call: or It s your body, you choose.

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